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in west texas, some of the death and damage could have been mitigated. today for it to work, and facilities have to pay attention to the federal register. it is probably not too difficult. facilities that maintain the national associations, like the ones we will hear from later today, also have access to this information. it is unaffiliated with outliers that dot our nation's landscape of concern. many of these facilities operate in areas where the responders are volunteers do not have the access to specialized training that are necessary to respond to the explosions. i am troubled by the prospect of thousands or maybe tens of thousands of these facilities operated under the radar screen in there used to be a sense of urgency on this issue at all levels. it is essential between osha and dhs and the coast guard and state regulators and there has to be enough information available to identify those facilities that could pose a risk. that information needs to be shared. the next challenge is to ensure that dhs analyzes the facilities that provide information and gao has told us
it to the port in texas and that literally began the history of containers and as we see now as much as possible because of the economics of that type of transportation is moved by container on these large vessels. >> host: what is your background in this industry and international trade? >> guest: i've been with the association since 1985 and when the call were called in earlier from wyoming my background has been international trade even before working with the association i was at the national coal association in wyoming to get a sense of the coal production and it's certainly one of our key exports internationally so involved in international trade and u.s. competitiveness in the world market for over 30 years. >> host: and george of is to talk with federal officials and we talk about the competition for shuttle dollars from the ports. how much money are we talking about the ports getting from the federal government? >> guest: the ports themselves as i mentioned are investing about $9 billion a year. they are investing the lion share which is legitimate -- 9 billion each year in the faciliti
in different agencies. if i could use the analogy, i played football at southeast texas. it's almost like we had a team of football players running around on the field with no coach and what 9/11 not only the kind -- commission did find was because we didn't have agencies on the home team we needed a quarterback and that is what the whole world with the department of homeland security is, to bring together all the different agencies that have equities in defending the homeland into one team in under one coach. i think the size of the organization candidly should be shocking. all of us taking every one of those pieces that were there already and bringing them in for better coordination. >> host: gatesvilgatesvil le texas independent line with chad sweet ceo in co-founder of the chertoff group that formerly with the department of homeland security and the cia. >> caller: we always made -- the problem is you all stopped making one or two things that you are taking and putting the whole country -- you keep referring to people going through an intersection with a stop sign. [inaudible] you don't
costs. some states like texas set very severe caps. they haven't seen lower trend lines because they set the cap. it's absolutely true that doctors practice defensive medicine. it's true the tort system doesn't work. it's true we need changes. it's all true. it won't fix the terrorist trends. they because of it's because of a rationality in the system. it's because of delivering too many of the wrong kinds of social security. yo lot of ama's answer to this and physician's answer is tort reform. you can say, you know, yes, you are right the tort system needs to be fixed. it's not the answer to the cost trends. >> thank you, doctor. that was incredibly interesting. [applause] i want to ask our executive director to give us an update on the association and assistanting state to control health costs while maintaining quality. >> thank you we're trying to emulate what jeff it doing. we have an agreement with jeff trying to utilize his technique. we have awarded seven states project to see if we can take some of the technique jeff and his colleagues have developed and apply them to a state. it
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